Provider Demographics
NPI:1134465149
Name:ANNA STEINER MEDICAL, INC.
Entity Type:Organization
Organization Name:ANNA STEINER MEDICAL, INC.
Other - Org Name:HEALTH ATLAST FOUNTAIN VALLEY
Other - Org Type:Other Name
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:KAREN
Authorized Official - Middle Name:A
Authorized Official - Last Name:TAFRESHI
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:949-922-1342
Mailing Address - Street 1:18837 BROOKHURST ST STE 210
Mailing Address - Street 2:
Mailing Address - City:FOUNTAIN VALLEY
Mailing Address - State:CA
Mailing Address - Zip Code:92708-7302
Mailing Address - Country:US
Mailing Address - Phone:714-965-5145
Mailing Address - Fax:714-965-5148
Practice Address - Street 1:18837 BROOKHURST ST STE 210
Practice Address - Street 2:
Practice Address - City:FOUNTAIN VALLEY
Practice Address - State:CA
Practice Address - Zip Code:92708-7302
Practice Address - Country:US
Practice Address - Phone:714-965-5145
Practice Address - Fax:714-965-5148
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-12-19
Last Update Date:2018-07-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA51257207LP2900X
2081P2900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2081P2900XAllopathic & Osteopathic PhysiciansPhysical Medicine & RehabilitationPain MedicineGroup - Multi-Specialty
No207LP2900XAllopathic & Osteopathic PhysiciansAnesthesiologyPain MedicineGroup - Multi-Specialty